Acne rosacea

Acne rosacea is a chronic skin disease of unknown aetiology

Features

• typically affects nose, cheeks and forehead
• flushing is often first symptom
• telangiectasia are common
• later develops into persistent erythema with papules and pustules
• rhinophyma
• ocular involvement: blepharitis

Management

• topical metronidazole may be used for mild symptoms (i.e. Limited number of papules and pustules, no plaques)
• more severe disease is treated with systemic antibiotics e.g. Oxytetracycline
• recommend daily application of a high-factor sunscreen
• camouflage creams may help conceal redness
• laser therapy may be appropriate for patients with prominent telangiectasia